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General NPI Number Information
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NPI Number | 1205753613
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Entity Type | Organization
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Legal Business Name | LILOU ROSE THERAPY CENTER LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | URB VILLA FONTANA PARK 5 X37 CALLE PARQUE DE LA ALIANZA
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City | CAROLINA
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State | PR
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Zip | 00983-4532
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Country | US
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Telephone | 787-470-1004
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Fax |
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Provider Business Mailing Address
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Address Line | URB VILLA FONTANA PARK CALLE PARQUE DE LA ALIANZA 5X37
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City | CAROLINA
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State | PR
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Zip | 00983-4532
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Country | US
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Telephone | 787-470-1004
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. YARIMAR NOEMI HERNANDEZ MARTINEZ
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Credential |
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Telephone | 787-470-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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